✅ Correct Answer: B. 0.9% Normal Saline 📘 Rationales A. 0.45% Normal Saline (Hypotonic) — NOT first Moves water into cells Not appropriate in severe dehydration with low BP Can worsen hypotension Used later for correcting hypernatremia, after volume is restored B. 0.9% Normal Saline (Isotonic) — CORRECT Stays in bloodstream Increases circulating volume Best for hypovolemic shock, dehydration, vomiting, diarrhea, trauma Safest initial fluid for hypotension and high Na⁺ C. D5W — Not appropriate B
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✅ Correct Answer: B. 0.9% Normal Saline 📘 Rationales A. 0.45% Norma…
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Normal saline is 0.9% mass/volume sodium chloride solution. Cal... | Filo
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For decades, Normal Saline (0.9% NaCl) has been the go-to fluid in trauma and head injury, it’s familiar, cheap, and easy to store. But there’s a problem, it’s not normal. And in patients with potential head injuries, it may actually make things worse. Normal saline contains a high chloride concentration (154 mmol/L), much higher than what’s in human plasma (~100 mmol/L). When we infuse large volumes, that excess chloride leads to hyperchloremic metabolic acidosis. Acidosis does three key things
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Salty like normal saline…..💉 💦The only solution compatible with blood & blood products is 0.9% sodium chloride (normal saline) 💦D5W solution: starts Isotonic solution → turns to hypotonic in the body 💦Never give hypotonic solution to pts with ↑ ICP, Burns, or trauma 💦Hypertonic solutions uses: Hyponatremia 💦Hypotonic solutions uses: Hypernatremia 💦Hypertonic solutions are commonly given in the 🚨 ICU 🚨 💦Signs of fluid overload:edema, shortness of breath, crackles, hypertension 💦Signs o
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